NPI 1245795764

Malissa a Brockus, LMT

Practitioner Massage Therapist Colville, WA

Practice location

Address: 344 N Main St STE 106, Colville, WA 99114-2344
Phone: (509) 684-2755
Fax: (509) 684-3882

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence MA60919489 (WA)

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Registry record

NPI: 1245795764
Entity type: Individual
Sex (as registered): Female
NPI issued: 8 Feb 2019
Record last updated: 8 Feb 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.